JEANNIE-ANNE PARLAN (NP) – Adult Health Nurse Practitioner, NPI 1164042578
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for JEANNIE-ANNE PARLAN (NP)
20628 45TH RD
BAYSIDE, NY 113613121
Phone: (718) 785-6720
Type: Mailing
3611 Corporal Kennedy St
Bayside, NY 113611417
Phone: (718) 785-6720
Type: Location
3611 CORPORAL KENNEDY ST
BAYSIDE, NY 113611417
Phone:
Type: Mailing
13750 JAMAICA AVE
JAMAICA, NY 114353610
Phone: (718) 298-5100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($24).
Total Amount
$90
General + Research + Ownership
Payments
4
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $24 |
| Janssen Pharmaceuticals, Inc | $23 |
| Indivior Inc. | $23 |
| Lundbeck LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201002001845 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 11361)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| Nurse Practitioner | NY | |
| Family Practice, Addiction Medicine | NY | |
| Nurse Practitioner | PA | |
| - | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY | |
| Family Practice | NY |
Reviews
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